Registration Form
05273-284099, 292460 dalimsstandantpc@gmail.com

Note: All '*' marked fields are mandatory. Please mention 'NA' if not applicable.

Sibling Details

Sibling (Real Brother/ Sister) only studying in /Dalimss NTPC Tanda   
 
Admission No.
Sibling Name
 
Sibling Class
 

Student Details

Student First Name*
Student Middle Name
 
Student Last Name
Gender*
 
Date of Birth*
Admission sought in class*
 
Category
Religion
 
Nationality
Blood Group*
 
Email*
Mobile No.*
 
Aadhar No.
Current Class
 
School Last Attended
Student's Photo (Max-2 MB)*
 
 

Residential Address

Address*
 
City*
 
State*
Pin Code*
 

Father Details

Father Name*
Occupation
 
Qualification
Office Phone
 
Office Address
E-mail
 
Mobile No.*
Father's Photo (Max-2 MB)*
 
 

Mother Details

Mother Name*
Occupation
 
Qualification
Office Phone
 
Office Address
E-mail
 
Mobile No.*
Mother's Photo (Max-2 MB)*
 
 
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